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PA Bulletin, Doc. No. 98-1169

NOTICES

Mandated Benefits

[28 Pa.B. 3468]

   Section 9 of Act 34 of 1993 requires that the Health Care Cost Containment Council (Council) review existing or proposed mandated health benefits on request of the executive and legislative branches of government. The Council has been requested by Senator Edwin G. Holl, Chairperson of the Senate Banking and Insurance Committee, to review Senate Bill 1183, Printers Number 1449 (Greenleaf), which would require every health insurance policy that provides pregnancy-related benefits to also provide coverage for the expenses of diagnosis and treatment of infertility, including, but not limited to, in vitro fertilization, uterine embryo lavage, embryo transfer, artificial insemination, gamete intrafallopian tube transfer, zygote intrafallopian tube transfer and low tubal ovum transfer, under certain medical conditions.

   Initial notification of request for information and documentation was published in the Pennsylvania Bulletin on May 2, 1998, with documentation due to the Council by July 2, 1998.

   Following is a list of the documentation received. This information is available for public review and comment at the Council offices during regular business hours (8:30 a.m. to 5 p.m.) until August 7, 1998. Any additional comments on this information must be received by this time. Council offices are located at: 225 Market Street, Suite 400, Harrisburg, PA 17101. Send comments (six copies) to Flossie Wolf at this address.

Senate Bill 1183 Submissions

   1.  Highmark (Bruce R. Hironimus, Vice President, Government Affairs)

   *   Statement addressing Section 9 requirements and opposing Senate Bill 1183.

   *   Attachments addressing costs, effectiveness and social issues surrounding infertility.

   2.  Independence Blue Cross (Mary Ellen McMillen, Vice President, Legislative Policy)

   *   Letter opposing Senate Bill 1183.

   *   Attachments about the cost/prevalence of health insurance.

   3.  The Managed Care Association of Pennsylvania (Kimberly J. Kockler, Executive Director)

   *   Letter addressing Section 9 requirements and opposing Senate Bill 1183.

   *   Attachments addressing costs, effectiveness and social issues surrounding infertility.

   4.  The Insurance Federation of Pennsylvania (John R. Doubman, Secretary and Counsel)

   *   Letter addressing Section 9 requirements and opposing Senate Bill 1183.

   *   Attachments addressing insurance costs and coverage for infertility.

   5.  AFLAC--American Family Life Assurance Company of Columbus (Richard J. Gmerek and Elvira Guida of the Law Office of Maley, Williamson, Haley & Gmerek)

   *   Statement addressing Senate Bill 1183 and requesting exemptions for certain supplemental policies.

   6.  The American Society for Reproductive Medicine (Sean Tipton, Public Affairs Administrator)

   *   Letter and attachments addressing infertility services and treatments.

   7.  Pennsylvania Reproductive Associates (Dr. Andrea Braverman, Director of Psychological Services)

   *   Letter and attachments addressing the psychological aspects of infertility.

   8.  RESOLVE of Philadelphia (Patti Gellman, Advocacy Committee Co-Chair)

   *   Statement supporting Senate Bill 1183.

   *   Attachments addressing effectiveness and costs of infertility.

   9.  RESOLVE of South Central PA (Tara Mayes)

   *   Letter addressing infertility issues.

   10.  RESOLVE, The National Infertility Association (Deborah Wachenheim, Government Affairs Director)

   *   Information on infertility, infertility treatment costs and insurance coverage.

   11.  Serono Laboratories (Nicholas L. Ruggieri, Vice President, Government Affairs)

   *   Information on the cost of infertility insurance benefits.

   12.  Dr. William F. Panak, Martha Griffin, Dr. M. Shelton Smith, Brandie Dennler, Jennifer Erickson

   *   Statement addressing Section 9 requirements and supporting Senate Bill 1183.

   *   Attachments addressing costs and effectiveness of infertility treatments.

MARC P. VOLAVKA,   
Executive Director

[Pa.B. Doc. No. 98-1169. Filed for public inspection July 17, 1998, 9:00 a.m.]


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